Lequerica M, Hermosa B
Department of Psychology, Montclair State University, Upper Montclair, NJ 07043, USA.
J Natl Med Assoc. 1995 Dec;87(12):861-8.
Maternal reports on the health, behavioral, and educational characteristics of Hispanic low-income preschoolers were gathered from a pediatric clinic to conduct appropriate consultation and teaching of behavioral issues to pediatric residents. Fifty-two Hispanic mothers attending an urban hospital clinic were given a questionnaire. Interviews provided data on family demographics, children's health status, behavior problems (65 items adapted from Achenbach's 1981 and 1987 Child Behavior Checklists [CBCL]), maternal depression, family life stressful events, and discipline methods. Thirteen externalizing and five internalizing high frequency behaviors were identified. Behavior problem scores were significantly related to the use of yelling and hitting/spanking as methods of discipline. Precarious health status and low enrollment in preschool programs also were reported. A broader preventive role for pediatricians in that pediatric setting was recommended and pursued. Results suggest a broad preventive role for pediatricians and pediatric clinics servicing low-income preschoolers.
从一家儿科诊所收集了有关西班牙裔低收入学龄前儿童健康、行为和教育特征的母亲报告，以便对儿科住院医师进行行为问题方面的适当咨询和教学。向在城市医院诊所就诊的52名西班牙裔母亲发放了问卷。访谈提供了有关家庭人口统计学、儿童健康状况、行为问题（从阿肯巴克1981年和1987年的儿童行为检查表[CBCL]改编而来的65个项目）、母亲抑郁、家庭生活压力事件以及管教方法的数据。确定了13种外化和5种内化高频行为。行为问题得分与使用吼叫和打骂/打屁股作为管教方法显著相关。还报告了不稳定的健康状况和学龄前儿童入学率低的情况。建议并推行儿科医生在该儿科环境中发挥更广泛的预防作用。结果表明，儿科医生和为低收入学龄前儿童服务的儿科诊所有着广泛的预防作用。
